医学
肩关节前脱位
外科
肩关节手术
骨移植
前肩
肩关节
Latarjet程序
撕脱
肩胛骨
作者
Mingtao Zhang,Guang-Rui Zhang,Jianping Zhou,Ding Wu,Jiaxin Liu,Yao-Fei Jia,Xiang-Dong Yun
出处
期刊:China Journal of Orthopaedics and Traumatology
日期:2021-05-25
卷期号:34 (5): 478-484
标识
DOI:10.12200/j.issn.1003-0034.2021.05.017
摘要
The surgical treatment of recurrent anterior shoulder dislocation is a difficult problem in the field of sports injury medicine. The main reason focus on dynamic and osseous constraints of shoulder joint could not recover well. At present, arthroscopic surgery is used at home and abroad, and could receive statisfied postoperative effect, but the choice of specific surgical methods is still controversial. According to presence and size of glenoid and humeral skull defects, different treatments should be selected in clinic. The author recommends that no articular glenoid defect or glenoid defect 40% or Bristow-Latarjet if the surgical repair fails, bone grafting is used. In addition, if (humeral avulsion of glenohumeral ligaments, HAGL) injury existed, HAGL injury repair should be used. In addition to considering the important factor of bone defects, it is necessary to combine patient's age, exercise level and surgeon's technique to comprehensively select the bestsurgical method.
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